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An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Private Vehicle |
347C00000X | |||
Assisted Living, Mental Illness |
3104A0625X | |||
Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
320600000X |
| NPI Number | 1245417732 |
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| LBN Legal business name | WESLEY HOUSE AIF | ||||||||||||
| Authorized official | LOLA JEGREDE - (ADMINISTRATOR) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 01/28/2008 | ||||||||||||
| Last updated | 01/28/2008 - About 18 years ago | ||||||||||||
| Identifiers |
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WESLEY HOUSE AIF
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WESLEY HOUSE AIF